CORRECT ANSWERS
As the Coding Supervisor, your job description includes working with agents who have been charged
with detecting and correcting overpayments made to your hospital in the Medicare Fee for Service
program. You will need to develop a professional relationship with:
A. The OIG
B. MEDPAR rep
C. QIO physicians
D. Recovery audit contractors ✅✅CORRECT ANSW-D
The facility's policy for physician's verbal orders in accordance with state law and regulations needs
updating. The first area of investigation is the qualifications of those individuals who have been
authorized to record verbal orders. For this information you will consult the:
A. Policy and procedure manual
B. Hospitals Quality Management Plan
C. Data dictionary
D. Hospital bylaws, rules, and regulations ✅✅CORRECT ANSW-D
Deficiencies in a health record include which of the following?
A. Mistakes in the patient's ago
B. Contradictory content
C. Missing docs
D. Illegible docs ✅✅CORRECT ANSW-C
Which of the following indexes is an important source for the patient health record number?
A. Physician index
B. Disease index
,C. MPI
D. Operations index ✅✅CORRECT ANSW-C
Based on the MS-DRG report above, what is the case-mix index for this facility?
A. 0.204193
B. 2.965807
C. 11.639
D. 57 ✅✅CORRECT ANSW-B
In preparation for EHR, you are conducting total facility inventory of all forms currently used. You
must name each form for bar coding and indexing. The unnamed document in front of you contains
a checklist assessing an obstetric patient's lochia, fundus and perineum The document type would
you give to this form:
A. Prenatal record
B. Labor record
C. Delivery room record
D. Postpartum record ✅✅CORRECT ANSW-D
A union campaign is being conducted at your facility. As a department manager, it is appropriate for
you to tell employees that:
A. a strike is inevitable if the unions wins
B. Wages will increase if the union is defeated
C. You need the names of those involved in union activities
D. You are opposed to the union ✅✅CORRECT ANSW-D
The special form or view that plays a central role in planning and providing care at a skilled nursing,
psychiatric, and rehab facilities is the:
A. Interdisciplinary care plan
B. Medical history and review of systems
,C. Interval summary
D. Problem list ✅✅CORRECT ANSW-A
Release of information has increased its use of part-time PRN clerical support in order to respond to
increased requests for release of information. The budget variance report will reflect:
A. The increase in the cost of part-time clerical support for ROI by not the increase in revenue from
this area.
B. The increase in revenue from increased volume in ROI but not the increased costs of part-time
clerical support
C. Both increases in revenue and increased costs for clerical support in ROI.
D. Neither the increased costs nor increased revenue, as temporary changes are rarely reflected on
variance reports. ✅✅CORRECT ANSW-A
A patient was treated for meningitis at age 3 (15 years ago). The patient is now 18. The patients
attorney is requesting information on the admission. You tell the clerk the info is:
A. No longer available because your facility retains information for 10 years after the last patient
visits.
B. Available, but the attorney will have to obtain a court order before you will release it.
C. Available, by the patient's parents will have to sign a consent for you to release it
D. Available, and the patient may sign consent to release the information in the record.
✅✅CORRECT ANSW-D
Which of the following contains the physicians findings based on the exam of the patient:
A. Physical Exam
B. Medical history
C. Patient instructions
D. Discharge summary ✅✅CORRECT ANSW-A
A quantitative review of the health record for missing reports and signatures that occurs when the
patient is in the hospital is referred to as a:
, A. Peer review
B. Prospective review
C. Concurrent review
D. Retrospective ✅✅CORRECT ANSW-C
The transcription isn't so have collects data on the number and types of problems with the dictation
equipment. The best tool to display the data they collected is a:
A. Flowchart
B. Pareto chart
C. Gnat chart
D. PERT chart ✅✅CORRECT ANSW-B
You are calculating the fee schedule payment amount for the physician services covered under
Medicare Part B. You already have the relative value unit figure. The only other information you
need is:
A. The facility's case mix index
B. A national conversion factor
C. The facilities base rate
D. MS-DRG relative weights ✅✅CORRECT ANSW-B
As the Director of a Health Information Technology Program, your community college has been
selected to participate in the workforce development of electronic health record specialists as
outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to
regularly access the Web site of this governmental agency.
a. CMS
b. OSHA
c. ONC
d. CDC ✅✅CORRECT ANSW-C